南台灣外籍人士感染寄生蟲之分析

Analysis of Parasitic Infections among Foreigners in Southern Taiwan

呂曙年(Shuh-Nien Leu)

指導教授 ： 陳瑩霖

高雄醫學大學/醫學院/醫學研究所/碩士(2003年)

摘要

中 文 摘 要
目前台灣，因社會結構的轉變，人力需求及推向國際化等因素，促使來台之外籍人士，包括勞工、教師、家庭看護工及新娘等日益增加。依行政院衛生署2000年公佈之統計分析，來台的外籍人士接受10種的健康檢查共發現13,424人不合格，其中「腸內寄生蟲檢查」這一項，有12,353人不合格，佔不合格者的92.02﹪，是所有檢查項目中最高的。
基於此，本研究針對1997至2001年間，至高雄醫學大學附設醫院作「身體健康檢查」之外籍人士寄生蟲檢查結果，依其國籍、性別、年齡及職業，加以分析探討。
本研究共檢查4,445件來自17個國家外籍人士的糞便檢體及血液抹片。血液抹片檢查結果，未發現任何寄生蟲之感染。糞便檢查結果，感染寄生蟲的有420件，陽性率為9.44﹪（420/4,445）。依寄生蟲的種類，有蠕蟲類9種和原蟲類7種，蠕蟲類中以鉤蟲（Hookworm）和鞭蟲（Trichuris trichiura）的陽性率較高，其陽性率分別為1.84﹪（81/4,445）及1.68﹪（75/4,445）。而原蟲類中陽性率較高者為人芽囊原蟲（Blastocystis hominis）1.19﹪（53/4,445）和哈氏阿米巴（Entameba hartmani）1.15﹪（51/4,445）。就國籍而言，以來自柬埔寨、越南和印尼這三個國家的陽性率較高。就性別而言，其中女性檢體陽性率11.40﹪（312/2,738）顯著高於男性檢體陽性率6.33﹪（180/1,707）（p<0.005）。就年齡而言，以19歲以下及60歲以上的檢體陽性率較高，但以20至29歲的檢體陽性數最多。就職業而言，以外籍新娘檢體陽性率15.3﹪（216/1,414）為最高。
痢疾阿米巴是法定傳染病之一，14件陽性檢體中，7件是來自外籍新娘和家庭看護工，她們深入家庭的生活，將會危及其照護與共同生活中的家人，值得有關單位注意，在防疫上，應有其因應對策。

關鍵字

外籍人士 ； 外籍新娘 ； 家庭看護 ； 腸道寄生蟲

並列摘要

Abstract
Recently , due to the changes of social structure , the demand of human resources and the attempt of internationalization of our country , a lot of foreign workers such as laborers , teachers and nursing care helpers , and brides had been imported to Taiwan . According to the statistic analysis made by the Department of Health , Executive Yuan in 2000 , there were 13,424 foreign workers failed to one or more items of physical examinations in 10 items .Among them the highest failure rate , 92.02% or 12,353 workers , was found in the item of intestinal parasitic infection .
From 1997 to 2001 , totally , 4,445 stool samples and 4,445 blood samples collected from 17 countries had been examined at Kaohsiung Medical University Hospital . Their nationality , sex , age and occupation were also analyzed .
All blood samples examined showed negative for blood parasites . The result of stool examination revealed that 9.44% or 420 samples were positive for one or more species of intestinal parasites , among 9 species of helminths found from 420 samples , the higher infection rates were 1.84%(81/4,445) for Hookworm and 1.68%(75/4,445) for Trichuris trichiura respectively , and among 7 species of protozoa , the higher rates were 1.19%(53/4,445) for Blastocystis hominis and 1.15%(51/4,445) for Entameba hartmani respectively . According to the nationality , the higher rates were found in Combodia (21.4%) , Vietnam (16.2%) and Indonesia (12.9%) . The infection rate in males was 6.33%(108/1,707) and 11.40%(312/2,738) in females , which is significantly higher (p<0.005) than that of males . According to the age group , the higher positives rates were found in under 19 years old and in above 60 years old , but the highest positive rate was seen in between 20 and 29 years old . The higher infection rates 15.3% (216/1,414) was seen in foreign brides .
Entamoeba histolytica is one of notifiable infectious diseases , that may be infected by person to person without delay . Among 14 positives of Entamoeba histolytica , 7 positives including 6 brides and 1 nursing care helper , may spread this disease by their close contact to the family members . This notifiable parasitic disease may influence the strategy of national public health policy and its endemicity . Our government should pay more attention to this kind of communicable disease .

並列關鍵字

foreigner ； foreigner bride ； nursing care helper ； intestinal parasitic

參考文獻

參考文獻

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